Provider Demographics
NPI:1770759011
Name:ATLAS HOME HEALTH INC
Entity type:Organization
Organization Name:ATLAS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANABIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-443-6667
Mailing Address - Street 1:147 ALHAMBRA CIRCLE
Mailing Address - Street 2:SUITE # 218
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-4530
Mailing Address - Country:US
Mailing Address - Phone:305-443-6667
Mailing Address - Fax:305-444-1688
Practice Address - Street 1:147 ALHAMBRA CIRCLE
Practice Address - Street 2:SUITE # 218
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-4530
Practice Address - Country:US
Practice Address - Phone:305-443-6667
Practice Address - Fax:305-444-1688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992695251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-9219Medicare PIN